| NPI | 1972620227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP017051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015068) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-03-28 |